Individual
DEBRA BROCCARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 PUBLIC SQ STE 600, WILKES BARRE, PA 18701-1704
(570) 826-1777
(570) 823-3040
Mailing address
15 PUBLIC SQ STE 600, WILKES BARRE, PA 18701-1700
(570) 826-1777
(570) 823-3040
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN343183L
PA
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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